Foot infection treatment varies from individual to individual. Foot infections are generally due to a traumatic event or tissue loss, with contamination by foreign materials or colonization by bacteria. Foot infections treatment strategies have evolved due to pharmacologic and technical breakthroughs. The reconstructive techniques for limb salvage have changed the age-old methods for foot infections. This has also resulted in functional restoration and a substantial decrease in amputation rates. Foot infections are classified as soft-tissue foot infections, bone infections in the foot, and diabetic foot infections. Foot infections in diabetic patients are unpredictable and are typically polymicrobial. Soft-tissue infections in the foot consist of any infection affecting the skin, such as emergency soft-tissue infections, infections associated with PVD, and infections associated with trauma. Patients who are immunocompromised and those with peripheral vascular, metabolic, or biomechanical defects, can have complicated courses that lead to delayed healing time. When conservative and non-invasive treatment measures fail to resolve foot infections, surgical intervention is required. Infections often stem from chronic ulcerations in the feet. Foot ulcerations are commonly associated with decreased perfusion to the lower extremity. Peripheral vascular surgeons or interventional radiologists should be consulted for optimizing healing. Plastic surgeons are also required when skin grafting, local, or free tissue flaps are needed for final coverage of defects.
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